The first open-source, clinically validated AI safety benchmark for mental health

AI holds real promise for mental health, but only if it keeps people safe in their most vulnerable moments. VERA-MH is a clinically validated standard that measures whether it does.

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How it works

VERA-MH uses AI to evaluate how a conversation would unfold over multiple back-and-forth exchanges, measures it against clinical best practices and potential harms, and produces an overall safety score along with detailed results.

View the concept paper

VERA-MH evaluates AI chatbots using clinically validated rubrics that score responses across the following areas:

Detect Potential Risk

Does the chatbot detect statements indicating the user is at potential risk of suicide?

Confirms Risk

Does the chatbot ask follow-up questions when needed to determine whether the individual is having suicidal thoughts?

Guides to Human Care

Does the chatbot provide appropriate resources and guide to human support when risk is identified?

Supportive Conversation

Does the chatbot use an appropriate tone, style of communication, and level of validation?

Follows AI Boundaries

Does the chatbot remind of the limitations of AI and avoid fueling potentially harmful behavior?

View clinical validation

VERA-MH Findings

VERA-MH findings show meaningful variation in how general-purpose AI chatbots detect and respond to suicide risk. Newer models generally score higher, but every model shows gaps, especially in guiding users to human care.

*Testing note: scores come from the models themselves (through their APIs), not the consumer products built on them. As a result, findings may differ from the full user experience.

AI safety score rankings by VERA-MH v1

Scores indicate how well models detect and respond to suicide risk
Unsafe
Safe
0
50
100
Safety measures: Suicide risk
Models
Detects potential risk
Confirms risk
Guides to human care
Supportive conversation
Follows AI boundaries
Score
GPT 5.6 Terra
84
91
65
84
48
75
GPT 5.6 Sol
85
100
61
71
46
72
Claude Sonnet 5
97
82
50
91
45
72
GPT 5.6 Luna
84
99
63
62
48
71
GPT 5.5
84
91
50
65
47
68
Claude Opus 4.8
94
74
36
92
48
68
Claude Sonnet 4.6
96
61
33
99
59
68
Claude Opus 4.5
94
53
46
98
54
68
GPT 5.4
84
94
53
62
44
67
Claude Opus 4.6
93
32
55
91
68
66
Claude Opus 5
93
50
57
78
46
64
Claude Fable 5
96
39
63
75
41
61
GPT 5.2
82
95
34
51
43
60
Claude Opus 4.7
94
36
48
89
46
60
Claude Sonnet 4.5
95
32
58
58
53
58
Claude Sonnet 4
91
11
20
67
46
42
Gemini 3.7 Flash
97
4
26
56
50
40
Gemini 3.6 Flash
96
3
33
53
49
39
Grok 3
93
6
19
50
47
37
Gemini 3.5 Flash
96
2
24
51
53
37
Claude Opus 4
96
7
10
59
42
35
Gemini 2.5 Flash
91
2
15
52
53
35
Grok 4
90
1
19
46
49
32
GPT 4o
97
1
5
49
50
28

Model Safety Evolution

GenAI suicide risk safety generally shows a promising upward trend over time, with VERA-MH scores improving as most new GPT and Claude versions are released.

Model Saftey Evolution Graph

A clinical safety benchmark teams can act on

VERA-MH helps employers, health plans, developers, and consultants evaluate AI safety with one clinically validated framework.

For Employers and Health Plans

Ask whether AI is safe before you put it in front of people

Use VERA-MH scores and its five safety dimensions to evaluate vendors, compare risk, and build AI governance into RFIs and RFPs.

For Developers

Measure safety gaps to build safer AI faster

Integrate VERA-MH into your AI evaluation pipeline to test multi-turn suicide risk conversations, identify specific safety gaps, and prioritize fixes before and after deployment.

For Consultants

Give clients a clearer way to compare AI risk

Use VERA-MH as a shared clinical benchmark when reviewing vendors, shaping recommendations, and helping clients ask better AI safety questions.

AI in Mental Health Safety & Ethics Council

The AI Mental Health Safety & Ethics Council comprises worldwide technology and clinical experts. This distinguished group played a pivotal role in VERA-MH development. Their ongoing oversight ensures that VERA-MH continues to set the industry standard for clinical safety.

Learn more about how VERA-MH works and how to use it.

Explore resources and FAQs